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Menopause may be underdocumented in EHRs
Surveys captured nearly 7 times as many menopause observations as structured clinical records, with high agreement when both sources identified menopause.
Self-reported surveys identified nearly 7 times more menopause observations than structured electronic health records (EHRs) in the All of Us Research Program.
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Among participants, 192,655 reported permanent cessation of menstrual periods, while only 27,975 had an EHR diagnosis code for menopause or premature menopause.
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The study found limited documentation of menopause-related symptoms in EHRs, with 20 or fewer observations recorded for abnormal vasomotor function.
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EHR diagnoses primarily occurred between ages 50 and 80 years, with a notable increase at age 65, differing from survey-reported menopause age distributions.
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The findings suggest that survey data provide greater ascertainment of menopause than structured EHR diagnoses, highlighting the need for better documentation.
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